Provider Demographics
NPI:1760753602
Name:J CHRISTOPHER ROMNEY DC PC
Entity Type:Organization
Organization Name:J CHRISTOPHER ROMNEY DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:J
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:ROMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC FACO
Authorized Official - Phone:435-586-9904
Mailing Address - Street 1:965 S MAIN ST
Mailing Address - Street 2:STE A
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-4383
Mailing Address - Country:US
Mailing Address - Phone:435-586-9904
Mailing Address - Fax:435-586-9648
Practice Address - Street 1:965 S MAIN ST
Practice Address - Street 2:STE A
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-4383
Practice Address - Country:US
Practice Address - Phone:435-586-9904
Practice Address - Fax:435-586-9648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT167627-1202305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization